Quality Assurance (Qa) Program

Front 1

what year was the QA program originally issued to standardize QA activates within Naval Medical command MTF's

Back 1

1984

Front 2

what must fixed MTF's and DTF's that meet the applicable criteria gain and maintain accreditation by

Back 2

JCAHO (Joint Commission for the Accreditation of Healthcare Organizations)

Front 3

how many years must routine WA program-related documentation be maintained in a secure location prior to disposal

Back 3

5

Front 4

QA inquiries and medical records related to a potentially compensable even (PCE) and Judge Advocate General (JAGMAN) investigations must be maintained in a secure location at the local command for a minimum of how many years or as long as needed thereafter

Back 4

2

Front 5

medical and dental QA programs support credential review and privileging activities following what reference

Back 5

BUMEDINST 6320.66

Front 6

how often should the QA program be reviewed for effectiveness and be revised as necessary

Back 6

annually

Front 7

what programs will MTF and DTSs have monitor resource used and to recommend ways to balance assigned mission statements with existing health care resources

Back 7

Utilization Review(UR)

Front 8

how many ECOMS are there per individual privileging authority

Back 8

1

Front 9

what multidisciplinary committee is required when there is more than a single processional discipline providing patient care within the facility or type command under the cognizance of a single privileging authority

Back 9

QA Committee

Front 10

who interprets DoD, SECNAV, and CNO policies as well as provides guidance for Navy-wide QA program implementation

Back 10

Chief, BUMED

Front 11

how often must the Chief, BUMED submit a QA program summary report

Back 11

annually

Front 12

MTFs meeting the criteria for participation in the Joint Commission survey process must maintain accreditation per what reference

Back 12

BUMEDINST 6000.2D

Front 13

how many educational workshops are conducted by the Naval School of Health Sciences located in Bethesda, MD each year in the principles, components, and management of QA programs of naval medical department personnel

Back 13

2

Front 14

by what date of each year must MTFs and DTFs forward an annual assessment of the preceding fiscal year's QA program to MED-3C4 with a copy to the cognizant responsible line commander and HLTHCARE SUPPO

Back 14

January 15th

Front 15

what personnel are required to be licensed but are not included in the definition of health care practitioners

Back 15

Clinical Support Staff

Front 16

what is a determination concerning a monitor outcome confirmed through the peer review process

Back 16

Validation

Front 17

a medical record is considered delinquent if all required record components are not completed within how many days of patients discharge

Back 17

30

Front 18

what state occurs when there is a variance from pre-established minimally acceptable standards of care

Back 18

Deficiency

Front 19

what type of infection is an inpatient acquired infection that was not present or incubated at the time of admission

Back 19

Nosocomial

Front 20

an infection is considered nosocomial if it first becomes apparent within how many hours or more after admission

Back 20

72

Front 21

what is the process by which practitioners of the same or like discipline evaluate the outcomes of QA program-related monitoring activates

Back 21

Peer review

Front 22

what is an even or outcome during the process of medical or dental care in which the patient suffers a lack of improvement, injury, or illness of severity greater than ordinarily experienced by patients with similar procedures or illnesses

Back 22

PCE

Front 23

what is the formal and systematic exercise of monitoring and reviewing medical care and outcome called

Back 23

Quality Assurance